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Arkansas rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,089.30 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,412.54